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《Medical Journal of National Defending Forces in Southwest China》 2016-08
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Efficacy of early hyperbaric oxygen in treatment of basal ganglia hemorrhage after minimally invasive hematoma drainage

Hong Liangchun;Ji Jianyong;Department of Neurosurgery, Hospital 187 of PLA;  
Objective To explore the efficacy of early hyperbaric oxygen in the treatment of basal ganglia hemorrhage after minimally invasive hema toma drainage. Methods A total of 94 patients with basal ganglia hemorrhage admitted to our hospital from October 2014 to October 2015 were selected and randomly divided into a control group and an observation group. The control group was treated with minimally invasive hematoma drainage; the observation group was treated with hyperbaric oxygen three hours after the minimally invasive hematoma drainage. The relevant evaluation indexes and efficacy after the treatment were compared. Results The difference of the GCS, NDF and Barthel between the two groups before the treatment had no statistical significance(P 0.05); after the treatment, the GCS score and Barthel index in the two groups increased greatly(P 0.05), while NDF score decreased significantly(P 0.05), with the improvement in the observation group greater than that in the control group(P 0.05); there was no significant difference of the rates of severe disability and vegetative state between the two groups(P 0.05); the rates of excellent recovery and moderate disability in the observation group were much higher than those in the control group(P 0.05); the death rate was also significantly lower than that in the control group(P 0.05); the incidence of complications in the observation group was also lower than that in the control group(P 0.05). Conclusion Compared with conventional minimally invasive hematoma drainage, the treatment of basal ganglia hemorrhage with hyperbaric oxygen after minimally invasive hematoma drainage shows ideal effect, is more beneficial to the recovery of neural function in patients and reduction of death rate and the incidence of complications, and is worth popularization and application.
【CateGory Index】: R651.12
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